Chapter 1570

"How about the attachment area?" After a while, Zheng Ren asked.

There was silence behind the curtain.

He looked at President Wang and felt a little distressed.

I've been walking for less than half a year, and some people in this area don't know themselves.

Things are right and people are wrong. That's probably what I mean.

In an instant, a trace of literary and artistic atmosphere appeared in Zheng Ren's heart like a stone.

"Dr. Zou, how about the annex area?" Mr. Wang asked.

"Yes... There is space..." the doctor in the B-ultrasound room stammered.

Zheng Ren nodded and sighed that the pig hoof was still as reliable as ever.

When I first saw the diagnosis of the disease, I was in a trance. I didn't expect it to be true.

"Is it a teratoma?" Zheng Ren asked.

"...." the curtain was silent. After dozens of seconds, the doctor in the B-ultrasound room whispered, "President Zheng, your B-ultrasound level is high. Give me a slap?"

Then Miao Xiaohua came out and begged, "Zheng Ren, take a look for me."

Her eyes were full of expectation.

From the beginning, the family and Miao Xiaohua were unwilling to believe that sun Xiaomei was a mental disease. But the "iron" general facts show that it must be psychosis and should be sent to a mental hospital for treatment.

At the thought of sun Xiaomei's life becoming bleak, everyone around him felt uncomfortable.

But I didn't expect things to turn around.

If teratoma is induced, it means surgery can be used. Surgical treatment means recovery!

How can this not make Miao Xiaohua happy.

Zheng Ren smiled and nodded.

Seeing him go in, Mr. Wang gathered around Su Yun and asked in a low voice, "Brother Yun, what disease did boss Zheng diagnose?"

Su Yun, holding a mobile phone in his hand, was reading it quickly. He glanced at President Wang and said, "you won't check it yourself?"

"Don't introduce it. Just say it directly. You still need me to check it." President Wang said with a smile, as if he had returned to 912

"That disease, referred to as anti NMDAR encephalitis." Su Yun said, "also known as autoimmune encephalitis, it is a situation caused by small problems in the immune system. CT can only see slight encephalitis symptoms. It's really a ghost."

Su Yun nagged.

"Tumor and infection can induce autoimmune encephalitis, and the proportion of young women with anti NMDAR encephalitis complicated with ovarian teratoma is higher." Su Yun looked at his cell phone and said casually.

President Wang glimpsed the discussion in pure English. Su Yun didn't take it seriously at all. He translated it casually and felt some emotion in his heart.

It's not that I can't read it myself, but I have to turn to the dictionary for many professional words in neurology.

"The main symptoms include abnormal mental behavior, cognitive impairment, decline in recent memory, seizures, speech disorders, movement disorders, involuntary movement, decline of consciousness level and coma, autonomic nerve dysfunction, etc." Su Yun said, somewhat dissatisfied.

"Didn't you see that when we went, the patient was making up stories." Su Yun said: "she talked about a lot of gratitude and resentment, from the city to fantasy. She almost became a member of an ancient family..."

As he spoke, the curtain was lifted.

"Teratoma, combined with mental symptoms, is more likely to be autoimmune encephalitis." Zheng Ren said as he came out.

"Why is CT not very clear?" Su Yun asked.

"The onset is too urgent. It's just an early conjecture, and there's no organic change. Now surgery will cut off the teratoma, and the postoperative effect will be very good." Zheng Ren smiled and was very happy.

If there were no accidents, sun Xiaomei could revive with blood and blue after the operation, and could continue to go to school and graduate work.

The trajectory of life was forcibly pulled back.

"Anti NMDAR encephalitis often starts with acute or subacute, and its imaging, biochemical examination, routine cerebrospinal fluid and clinical manifestations often lack specificity.

It has similar clinical manifestations to many diseases such as acute disseminated encephalomyelitis, Creutzfeldt Jakob disease and herpes simplex virus encephalitis. It is easy to be misdiagnosed clinically, so it needs to be differentiated from such diseases. "

"Some patients often take abnormal mental behavior as the first symptom, and show the disharmony of cognition, thinking, emotion and behavior. In the early stage of the disease, it is easy to be misdiagnosed as a mental disease and sent to a psychiatric hospital for diagnosis and treatment."

After Zheng Ren explained, he looked back at Miao Xiaohua and said, "Xiaohua, tell your relatives to go to the hospital for surgery as soon as possible."

"Zheng Ren, what should I do after operation?" Miao Xiaohua was a little confused. Happiness came so suddenly that she couldn't believe it.

"Oh, yes!" Zheng Ren suddenly thought of something and said, "cerebrospinal fluid is sent to Beijing Union Medical College Hospital for examination. It seems that our provincial capital can't do this examination."

"If you are positive, hurry up the operation, and use C ball plus short-term hormone shock treatment after operation, there should be no special problem." Zheng Ren continued.

"Oh." Miao Xiaohua answered excitedly.

When she saw Zheng Ren's affirmation, she silently wrote down the whole treatment process and handed it back to her aunt.

But Miao Xiaohua can't remember so many professional words. A few seconds later, he looked at a loss.

She's almost forgotten.

"We should hurry up. We can cut the teratoma while sending it for examination. It is also a problem to keep such a large teratoma. We should cut it early to avoid future problems." Zheng Rendao.

Miao Xiaohua answered and went to dress sun Xiaomei.

"Mr. Wang, it's all right. Let's go back and have a rest." Zheng Ren smiled and said, "it's hard for you."

President Wang politely said a few words.

No wonder boss Zheng stopped the emergency operation of gastrointestinal surgery in 912. At the thought of this, President Wang felt depressed out of thin air.

At that time, I came to Haicheng to provide support. I wanted to be independent in this area, not only in emergency, but also in all kinds of slow diagnosis and various operations.

Although the number of operations on this side is small, the victory is very miscellaneous.

After going back, we should make some progress. This also laid a solid foundation for becoming a group professor in the future.

But boss Zheng came back twice, both of which left a deep impression on himself. The face was slapped, slapping.

People's level is really high, not fake.

Just like today's psychosis... Patients with anti NMDAR encephalitis would probably be sent to a mental hospital for treatment without boss Zheng.

Moreover, the most important thing is that they do not know that the patient has been misdiagnosed by themselves.

For myself, it's just a small thing. A patient with mental illness came to the emergency department and was sent to the mental hospital. I'm afraid I won't remember at all in the future.

However, a random diagnosis and a misdiagnosis affect the patient's life.

President Wang pondered and smiled bitterly. At that time, he felt that his level was almost the same. He wanted to go to private hospitals to make money and embark on the peak of high, rich and handsome life.

Now look, it's far from enough.